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Organization
NAN L. AMBROSY, ARNP, PA
Active
Organization
NAN L. AMBROSY, ARNP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP DOUGLAS HENDERSON (OFFICE MANAGER)
(785) 539-9990
Entity
Organization
Contact information
Practice address
1213 HYLTON HEIGHTS RD, SUITE 125, MANHATTAN, KS 66502-2810
(785) 539-9990
(785) 539-9998
Mailing address
1213 HYLTON HEIGHTS RD, SUITE 125, MANHATTAN, KS 66502-2810
(785) 539-9990
(785) 539-9998
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74864
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160992
BLUE CROSS & BLUE SHIELD
KS
Enumeration date
05/25/2007
Last updated
08/22/2020
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